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Pathologic Quiz Case 2
Arch Otolaryngol Head Neck Surg. 1998;124:469-471.
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A 63-YEAR-OLD woman was referred to the ear, nose, and throat department with a 2-month history of intermittent hoarseness. No other signs were present, and no further symptoms could be identified on specific questioning. The medical and surgical history was noncontributory. A complete general examination and an examination of the ear, nose, and throat were performed. Indirect laryngoscopy revealed supraglottic spasm during phonation. The findings of the rest of the examination were normal, as were those of routine chest radiography. A diagnosis of functional dysphonia was made, and speech therapy was started. After 2 months of follow-up, the patient complained of an irritable dry cough of 2 weeks' duration. The hoarseness had improved, however. Clinical examination again did not reveal any additional signs, and the cough was attributed to a possible viral respiratory tract infection. The patient was then unavailable for follow-up for 6 months after the initial consultation, when . . . [Full Text of this Article]
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